Healthcare Revenue Integrity Archives

Mid-Year Check-In: Adapting the GCPG to your Existing Compliance Program

Live webinar: Thursday, July, 11th Time: 1:00 PM ET | 12:00 PM CT | 10:00 AM PT Compliance officers and compliance professionals have had six months to digest and begin applying the General Compliance Program Guidance (GCPG) published by the Office of Inspector General (OIG) in November 2023. The OIG reiterated several practices from previous guidance materials and outlined new ones that health care organizations should ...

By SAI360|2024-06-07T13:31:43+00:00June 7th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Can Healthcare Reimagine Compliance as a Catalyst for Optimal Patient Outcomes?

Leveraging Healthcare Compliance to Optimize Patient Outcomes Healthcare compliance is a complex maze of regulations and requirements, presenting a significant challenge for Chief Compliance Officers. This whitepaper explores key issues and solutions facing compliance officers today, featuring exclusive insights from Robbi-Lynn Watnik, JD, CHPC, Senior Consultant at Strategic Management. Watnik says continuous education, open communication, and innovative solutions are essential for addressing the evolving challenges ...

By SAI360|2025-04-11T12:35:29+00:00May 31st, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Can Healthcare Reimagine Compliance as a Catalyst for Optimal Patient Outcomes? (pdf)

Thank you for your interest in Can Healthcare Reimagine Compliance as a Catalyst for Optimal Patient Outcomes? Download Healthcare compliance is a complex maze of regulations and requirements, presenting a significant challenge for Chief Compliance Officers. This whitepaper explores key issues and solutions facing compliance officers today, featuring exclusive insights from Robbi-Lynn Watnik, JD, CHPC, Senior Consultant at Strategic Management.

By SAI360|2025-04-28T23:03:53+00:00May 29th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Why is the Medicare Two-Midnight Rule Still Misunderstood Over a Decade Later?

Traditional Medicare’s Two-Midnight Rule is a guideline used in the U.S. healthcare system specifically for Medicare billing. It helps determine whether a patient's hospital stay should be billed as inpatient or outpatient care. This rule was designed to clarify hospital admissions criteria and plays a critical role in healthcare reimbursement, impacting institutions' operational and financial dynamics nationwide. According to this rule, if doctors expect a ...

By SAI360|2025-05-09T16:51:17+00:00May 3rd, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

The Modern Approach to Global Conflicts of Interest

With organizations always looking to scale, the interactions between staff, vendors, and deals become multifaceted. These interactions pose a significant risk due to potential unethical decision-making when conflicts of interest arise. To mitigate these risks, organizations are expected to have robust policies in place that cultivate trust and transparency for stakeholders. Failing to do so can have vast repercussions when it comes to reputation, integrity, ...

By SAI360|2025-04-11T12:37:58+00:00March 9th, 2024|Compliance, Financial Services GRC, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity, Integrated GRC, Internal Controls, IT Risk & Cybersecurity, SAI360, Third-Party and Vendor Risk|

Watch our GRC Webinar: Benchmark Results and Best Practices

Your stakeholders are increasingly inquiring about what your organization is doing in terms of ESG, Ethics, Risk, Cybersecurity and Assurance. It is imperative to mature your GRC function and to truly understand what a mature GRC function looks like in terms of methodologies, ways of working, and level of integration between your second and third line of defense (compliance and risk). Register below to watch ...

By SAI360|2025-04-10T09:19:20+00:00March 8th, 2024|Business Continuity, Business Resilience, Compliance, Data Privacy & Protection, Financial Services GRC, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity, Integrated GRC, Internal Controls, IT Risk & Cybersecurity, Regulatory Change, Third-Party and Vendor Risk|

Watch Medicare Advantage & The Two-Midnight Rule Follow Up: Where Are We Now (Video)

Embark on a comprehensive exploration of the Two-Midnight Rule with renowned health care reimbursement and operations expert, Day Egusquiza in this follow up to her "Two-Midnight Rule Nightmares" webinar. Gain valuable insights into the current landscape as we delve into the Two-Midnight Rule after its implementation.

By SAI360|2024-02-12T09:47:41+00:00February 12th, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Watch Medicare Advantage & The Two-Midnight Rule Follow Up: Where Are We Now

Embark on a comprehensive exploration of the Two-Midnight Rule with renowned health care reimbursement and operations expert, Day Egusquiza in this follow up to her "Two-Midnight Rule Nightmares" webinar. In this webinar, intended for healthcare providers, you can gain valuable insights into the current landscape as we delve into the Two-Midnight Rule after its implementation. This webinar will provide an in-depth analysis of where the ...

By SAI360|2025-04-10T08:42:29+00:00February 12th, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

2024 HIPAA Benchmark Report (pdf)

Thank you for your interest in the 2024 HIPAA Benchmark Report Download Strategic Management Services, in partnership with SAI360, presents a comprehensive look at the current state of HIPAA Privacy Programs through our 3rd Annual HIPAA Compliance Survey, conducted in November 2023. This survey, which garnered insights from various healthcare providers across the United States, sheds light on the intricacies of HIPAA program structures, ...

By SAI360|2025-04-28T23:02:31+00:00February 6th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity, Uncategorized|

Medicare Advantage & The Two-Midnight Rule Follow Up: Where Are We Now

Embark on a comprehensive exploration of the Two-Midnight Rule with renowned health care reimbursement and operations expert, Day Egusquiza, in this follow-up to her previous "Two-Midnight Rule Nightmares" webinar. *This webinar is intended for healthcare providers* Gain valuable insights into the current landscape as we delve into the Two-Midnight Rule after its implementation. This webinar will provide an in-depth analysis of where the rule ...

By SAI360|2025-05-06T20:04:43+00:00December 10th, 2023|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Healthcare Revenue Integrity News

Mid-Year Check-In: Adapting the GCPG to your Existing Compliance Program

Can Healthcare Reimagine Compliance as a Catalyst for Optimal Patient Outcomes?

Can Healthcare Reimagine Compliance as a Catalyst for Optimal Patient Outcomes? (pdf)

Why is the Medicare Two-Midnight Rule Still Misunderstood Over a Decade Later?

The Modern Approach to Global Conflicts of Interest

Watch our GRC Webinar: Benchmark Results and Best Practices

Watch Medicare Advantage & The Two-Midnight Rule Follow Up: Where Are We Now (Video)

Watch Medicare Advantage & The Two-Midnight Rule Follow Up: Where Are We Now

2024 HIPAA Benchmark Report (pdf)

Medicare Advantage & The Two-Midnight Rule Follow Up: Where Are We Now

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